Comparison of outcomes of LigaSure system and conventional electrocautery in patients undergoing modified radical mastectomy for breast cancer.

Abstract

Objective: To compare LigaSure system and conventional electrocautery in patients undergoing modified radical mastectomy for breast cancer in terms of mean wound drainage. Study Design: Randomized Controlled Trial. Setting: Department of Surgery, of Allama Iqbal Medical College, Jinnah Hospital Lahore. Period: April 2019 to Mar 2020. Material & Methods: Total of 162 patients were selected. Patients divided in two group A & B for Ligasure and electrocautery group respectively. Two drains placed, one in each flap and axilla after surgery. The drains were removed when the output was less than 30ml/ 24 hours. All patients were discharged after the drain removal. Results: The mean age in Ligasure group was 56.16 ± 7.87 years and in Electrocautery group was 55.00 ± 8.38 years. The mean wound drainage output in Ligasure group was 652.67 ± 93.05 ml and in Electrocautery group was 973.91 ± 87.84 ml. The mean drainage output was statistically lower in Ligasure group as compared to Electrocautery group, p-value < 0.001. Conclusion: Through the findings of current study it is concluded that LigaSure system leads less mean wound drainage than conventional electrocautery in patients undergoing modified radical mastectomy for breast cancer. So, in future therapeutic efficacy of LigaSure system can be opted to minimized the risk related wound drainage in patients undergoing modified radical mastectomy for breast cancer in terms of mean wound drainage.